Insurance Business America

Texas judge strikes down federal rule targeting Medicare Advantage overpayments

Humana Inc. challenged the rule shortly after it was issued, arguing that CMS violated the Administrative Procedure Act (APA) ...

Medicare Advantage enrollments expected to drop next year

Humana (HUM) and other health insurers are in focus as Medicare Advantage enrollments are projected to drop by nearly 1M in ...

CMS Medicaid tax funding rule struck down by judge following Texas challenge

A federal judge in Texas on Wednesday struck down a U.S. Centers for Medicare & Medicaid Services rule on how states fund ...

How insurance industry ‘stranglehold’ blocked Medicare reform

UnitedHealth Group is facing a torrent of accusations that it and its industry peers have exploited the Medicare Advantage ...

Most American Kids Rely On Medicaid, CHIP Insurance

By Dennis Thompson HealthDay ReporterMONDAY, Sept. 29, 2025 (HealthDay News) — Most American kids rely on federal health ...

10 Major Medicare Changes Coming in 2026: What to Expect with Premiums, Drug Prices, and Program Cuts

Medicare beneficiaries face higher premiums and deductibles, reduced services, and possible cuts to the program at large—but ...
Health Affairs

Growth Of C-SNPs May Be Jeopardizing Medicare-Medicaid Integration

With the new availability of Medicare enrollment data for 2025, we examine ongoing enrollment growth of chronic condition ...

Fragile N.C. Residents Lose Medicaid Support for Food and Housing

One year after Hurricane Helene, people in the hard-hit western region of North Carolina can no longer rely on a successful ...
Sierra Sun Times

Centers for Medicare & Medicaid Services (CMS) Announces Medicare Advantage and Medicare Prescription Drug Programs Expected to Remain Stable in 2026

CMS releases this key information, including 2026 premiums, benefits, and access to plan options for MA and Medicare Part D prescription drug plans, ahead of the upcoming Medicare Open Enrollment, ...

AI reviews rolling out for Medicare in WA for some procedures

Medicare enrollees in Washington may soon need to get additional approval before undergoing some medical procedures, under a ...

Georgia Medicaid work requirement program spent more on administrative costs than health care

GOP cites Georgia's program as a national model for federal Medicaid work requirements set to take effect in 2027.
MedPage Today on MSN

AI Will Soon Have a Say in Approving or Denying Medicare Treatments

While the use of AI in health insurance isn't new, Medicare has been slow to adopt the private-sector tools. Medicare has historically used prior authorization in a limited way, with contractors who ...